Access Advent’s Appeal Letter Examples

Schedule Appeal Letter Consultation

Successful appeal letters written to overturn wrongfully denied claims generally include two basic components:

(1) Clinical Summary: Outlines patient care.

(2) Guideline/Payer Policy: Cites support of the patient care plan.

These five example letters detail appeals of common denial reasons, including medical necessity and DRG downgrades. Utilize these to grade your organization’s appeals, and then schedule a consultation with Advent’s expert medical claims review team.